EPSDT
NPI 1164582821
Technician in Ellisville, MS

Q: What is Ellisville State School's NPI number?

The NPI number for Ellisville State School is 1164582821. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Epsdt.

Q: What is Ellisville State School's specialty?

The primary specialty registered for this NPI is Technician with taxonomy code 374700000X.

Active since December 11, 2006

1101 HIGHWAY 11 S, ELLISVILLE, MS 39437(601) 477-9384(601) 477-5700 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Epsdt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EPSDT (NPI 1164582821) is a healthcare organization registered as a technician in Ellisville, Mississippi and active in the NPI registry since December 2006. The organization lists Suzie Lassiter, Director Of Facility, as its authorized official.

NPPES Registry Identity

NPI1164582821

Entity TypeOrganization

Primary Taxonomy374700000X

Legal Business NameELLISVILLE STATE SCHOOL

Location Address1101 HIGHWAY 11 SEllisville, MS 39437-4443

Mailing Address1101 Highway 11 SEllisville, MS 39437-4443 · (601) 477-9384 · Fax (601) 477-5700

Phone(601) 477-9384

Fax(601) 477-5700

Organization SubpartNo

Authorized OfficialSuzie LassiterDirector Of Facility · (601) 477-9384

Enumeration DateDecember 11, 2006

Last NPPES UpdateJune 17, 2008

✔ NPI 1164582821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnicianNursing Service Related Providers

Taxonomy Code374700000X

License✔ Licensed in MS · ESS-BMR

Definition

(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.

1101 HIGHWAY 11 S, Ellisville, MS 39437

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Other Names 1

Doing Business AsEpsdt

Other Identifiers 1

Medicaid09015542MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLISVILLE STATE SCHOOL DENTAL

Dentist